Organization Active NPI

Danilo R Manimtim M D Inc Danilo R Manimtim Pres

  • Orthopaedic Surgery Physician
  • Fresno, CA
National Provider Identifier
1639463417
Registry record updated Oct 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
A36441 Issued in CA
Legal business name
DANILO R MANIMTIM M D INC DANILO R MANIMTIM PRES
Practice address
6101 N Fresno St Ste 101
Fresno, CA 93710-8606
Phone
(559) 435-4168
Fax
(559) 435-6733
NPI assigned
Jun 8, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Danilo R Manimtim, M.D.
Title
Direct Owner
Phone
(559) 435-4168

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X A36441 CA Primary

Addresses

Primary practice location

6101 N Fresno St Ste 101
Fresno, CA 93710-8606

Mailing address

6101 N Fresno St Ste 101
Fresno, CA 93710-8606
Phone (559) 435-4168

Other identifiers 1

IdentifierTypeStateIssuer
00A364410MedicaidCA

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1307491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477353600000",
    "number": "1639463417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 N FRESNO ST STE 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937108606",
            "telephone_number": "559-435-4168",
            "fax_number": "559-435-6733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6101 N FRESNO ST STE 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937108606",
            "telephone_number": "559-435-4168",
            "fax_number": "559-435-6733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANILO R MANIMTIM M D INC DANILO R MANIMTIM PRES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-08",
        "last_updated": "2016-10-25",
        "status": "A",
        "authorized_official_last_name": "MANIMTIM",
        "authorized_official_first_name": "DANILO",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "DIRECT OWNER",
        "authorized_official_telephone_number": "559-435-4168",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "A36441",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A364410",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.